Review of Risk

What thoughts have you had about harming yourself?

Have you considered in any detail, how you may harm yourself and do you believe that you have the resources available to you to follow through on such thoughts?

Do you have any history of self-harm?

What would you say is your daily intake of alcohol or drug use?

Do you have anyone close by that you are able to talk with if you feel your thoughts of harming yourself are overwhelming?

Are there any children or other vulnerable person in your care or close by that maybe at risk if you were to harm yourself?

Are social services involved in supporting you to care for children in your care?

What has prevented you form acting on these thoughts?

What are the reasons you have for living?

Are you hopeful about the future?

Can you rate your hopefulness on a 1-10 scale (with 1 being hopeless and 10 being hopeful for the future)?

In the past, what has kept you going in difficult times like this?

Who do you rely on during difficult times?

Risk Identified

Times / situations when I feel most vulnerable.

Support I have available to me.

Helpful coping strategies/things to avoid.

Plan for accessing available support.

Plan for using helpful coping strategies.

Other sources of support I may want to use:

The Samaritans: Call: 116 123 Medical Advice: NHS 111 In an emergency, I can ring: my GP, 999 or go to the Accident and Emergency Department

Others who may need to know of this plan (e.g. partner, family, GP):

This plan has been agreed with my full involvement and consent.

Date Agreed:

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